{
"Npi": {
"NPI": "1558505974",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MCADAMS",
"FirstName": "HEATHER",
"MiddleName": "N",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HOBBS",
"OtherFirstName": "HEATHER",
"OtherMiddleName": "N",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LPN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "502 NORTH MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARLINGTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45814",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-420-5043",
"MailingAddressFaxNumber": "419-365-5759",
"FirstLinePracticeLocationAddress": "502 NORTH MAIN STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ARLINGTON",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45814",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-420-5043",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/29/2009",
"LastUpdateDate": "12/31/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "164W00000X",
"TaxonomyName": "Licensed Practical Nurse",
"LicenseNumber": "PN 122363 IV",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "RN500493",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}